摘要
目的观察垫枕自身复位配合PVP治疗椎体压缩性骨折的疗效。方法自2006年8月到2007年8月,26例椎体压缩性骨折患者入院后,卧床,腰部垫枕,逐日垫高3～7天后,在X线透视引导下,经单侧椎弓根入路行PVP,每个椎体注入骨水泥量为3～6.5 mL,完成29个椎体成形术。术后患者随访1～12个月。分别观察入院时、术前、术后3天、术后1月、术后3月和术后6月行术椎体的椎体高度丢失率、后凸角度、后凸角度矫正率、VAS评分、止痛药使用评分、活动能力评分。结果垫枕自身复位较好地恢复了椎体的高度、矫正了后凸角度,之后行PVP术可维持及增强以上效果,并显著改善VAS评分、止痛药使用评分及活动能力评分。结论垫枕自身复位配合PVP治疗椎体压缩性骨折可以很好地恢复椎体高度,提高疗效,是一种简单、安全、经济、有效的方法。
Objective To explore the clinical effect of bolster for self-replacement combined with percutaneous vertebroplasty（PVP） in treatment of vertebral compression fractures. Methods From August 2006 to August 2007, 26 eases of this kind of disease were replaced through bolster gradually, then unilateral transpedicular approach were performed under X-Ray fluoroscopic guidance, a total of 3 - 6.5mL bone cement was injected. Twenty-nine vertebroplasties were completed. All were follow-up for 1 - 12 months post-operation. Loss rate of vetebral body height,posterior salient angle, rectification rate of posterior salient angle, VAS Score, antalgica using score and locomotor activity score were observed on admission, pre-operatin, 3 days, 1 month, 3 months and 6 months after operation. Results Bolster for self-replacement rebounded vetebral body height, rectificated posterior salient angle. PVP maintained and enhanced these effects, and significantly improve VAS Score, antalgica using score and locomotor activity score. Conclusion Bolster for self-replacement combined with PVP can rebound vetebral body height, raise curative effect, and, is a simple, safe, economic and effective therapeutic method.
出处
《中国骨质疏松杂志》
CAS
CSCD
2008年第12期903-907,共5页
Chinese Journal of Osteoporosis
基金
上海市教育委员会科研项目(07CZ011)
关键词
垫枕自身复位
经皮椎体成形术PVP
椎体压缩性骨折
椎体高度
后凸角度
症状评分
Bolster for self-replacemen
Pereutaneous vertebroplasty （PVP）
Vertebral compression fractures
Vetebral body height
Posterior salient angle
Symptom score
